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Lung India Official publication of Indian Chest Society  
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ORIGINAL ARTICLE
Year : 2009  |  Volume : 26  |  Issue : 2  |  Page : 35-37

The Keith Edward scoring system: A case control study


1 Department of Chest Medicine, Nil Ratan Sircar Medical College, Kolkata, India
2 Department of Pediatric Medicine, Nil Ratan Sircar Medical College, Kolkata, India
3 Department of Pathology, Nil Ratan Sircar Medical College, Kolkata, India
4 Department of Community Medicine, BSMC, Bankura, India

Correspondence Address:
Supriya Sarkar
Department of Chest Medicine, Nil Ratan Sircar Medical College, Kolkata-14
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-2113.48894

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Objective: The World health organization (WHO) has accepted Keith Edward scoring system for the diagnosis of childhood tuberculosis (TB). In the present study, we evaluated this scoring system. Methods and Results: We included 53 children with confirmed TB involving different organs, admitted in NB Medical College, during two years period as cases; and 50 randomly selected, age, sex, and organ matched confirmed non-TB cases as controls. We noticed 15.1% false negative and 22% false positive results in our study, and the scoring system had 84.9% sensitivity, 78% specificity, and 80.36% positive predictive value. Likelihood ratio positive (LR+) was 3.86, likelihood ratio negative (LR-) was 0.19, and overall agreement was 81.55%. We observed that Keith Edward scoring system was less effective in children suffering from non-TB chronic diseases (false positive rate: 45.5%). We found no significant difference in nutritional status between study and control groups (P = 0.65). We noticed that more than 15-mm indurations for tuberculin test were specific for TB in children. Conclusion: We concluded that Keith Edward scoring system is good for public health purpose, but there is a scope for improvement, and further study is required for this purpose.


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